Individual
DR. RAKESH LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048.0000657
VT
Other
Enumeration date
09/20/2012
Last updated
03/15/2017
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